| NPI | 1407517915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MT Med-Nutr-Lic-42205) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-06 |